CONSENT, WAIVER, RELEASE
(For Adult Participants)
Event/Adult Participant. I am over the age of eighteen (18) and competent to sign this document. I desire to participate in the following event, hereinafter “event”, which will be held at the _Utah Outdoor Recreation Summit on the 25, 26, 27 day(s) of _August_, 2020. I understand that the event is being held, organized and sponsored by the following individuals and entities: Utah Media Group, Utah Office of Outdoor Recreation, sponsors and partner volunteer organizations.
Fitness and Inherent Risks. I represent that I am physically fit and have been sufficiently trained to participate in the event. I understand and acknowledge that this event is an extreme test of my physical and mental limits and carries with it the potential for death, serious injury, and property loss. The foregoing risks include, but are not limited to, those caused by or associated with facilities, temperature, condition of athletes, equipment, travel, and the actions of others, including participants, volunteers, coaches, event officials, event monitors, and event producers/sponsors.
Consent to Capture and Use Images. I understand and agree that I may be photographed, filmed, and/or videotaped during this event, and I hereby consent that any photo, video, or film likeness, captured by the following event holders, producers, sponsors, organizers, and assigns, may be used by them for any legitimate purpose: (sign here)____________________________.
Waiver, Release of Liability, Hold Harmless. In consideration my participation in the event, I hereby waive any claims that may arise out of this event, including, but not limited to, claims or actions related to my death, disability, personal injury, and property damage, and I hereby release and hold harmless the following entities and persons from all liability or claims that may arise from this event: (print name)__________________________________________, together with their directors, officers, employees, volunteers, representatives, and agents.
Application and Acknowledgment. I acknowledge that this Consent, Waiver, and Release will be used by the event holders, sponsors, and organizers of the event.
Date:__________________ Signature _______________________________________
Participant’s Name:______________________________
Participant’s Age/DOB: __________________________
